| NPI | 1922786136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 14153113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010043) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-17 |